Les pratiques médicopsychologiques inspirées par la psychanalyse dans les services d’urgence – état des lieux et perspectives

Abstract

The Emergency departments accommodate the clinical problems which classic hospital medicine do not wish to treat. The authors propose to clarify the place of medicopsychological treatment inspired by psychoanalysis within Emergency departments. The methodology of this research leans on the reading of works and documents on the hospital and the medicine, active participating observation within Emergency units, and semi-directive interviews and informal conversations with Emergency departments units staffs. Psychiatrists and psychologists treat new clinical categories, like suicidal or victim crisis, leaning on transitional analysis. Their relationships with emergency physicians are specific and contrasted, alternating proximity because of their marginality within hospital medicine and distance by the intertransference analysis and stakes which take place in interstitial spaces.